Customer Relations Specialist

Communicated frequently with customers on updates, information, and concerns

Anticipated customer needs and identified any issues to determine best applicable action for resolution

Answered all calls in a professional and polite manner using proper etiquette with timely responses

Made any data corrections as necessary in company operating systems

Candidate Info

13

years in workforce

2

years at this job

HS

High School Diploma

Business

13

Customer Relations Specialist / Appeals & Grievances

Assist members and providers with claim, benefit and eligibility issues

Appeals & Grievance Scrubbing Team. Reviewed cases on a daily to meet member satisfaction with research, working close with other departments, contacting providers or other entities for a resolution. If the case did not meet A&G guidelines feedback was provided to the associates

Trained in all lines of business, including On and Off Exchange plans, Medicare COB and Medicare Supplemental plans.

Trained with ABS, OMNI, EXP MACESS, LOTUS NOTES, API systems.

HIPAA captain for the team (made sure private client information was put away in files etc.)

Candidate Info

15

years in workforce

9

years at this job

HS

High School Diploma

AA

Associate of Arts

14

Customer Relations Specialist

Manage real-time inquiries while keeping track of and responding to commitments to follow-up with customer inquiries

Resolve customer issues that range from technical troubleshooting, to how-to questions, to unique circumstances that come up with a specific offer

Resolve customer issues in a timely and consistent manner

Meet daily individual and team resolution targets by managing time and productivity expectations

Stay current with knowledge of internal ticketing system, customer portals, back-office databases, [company name] redemption procedures, and specifics around different types of [company name] features

Bilingual Customer Relations Specialist

Provide friendly, caring and professional customer service to customers in North and South Carolina in a fast-paced, technology-driven environment.

Effectively handle difficult customer service situations while keeping a balance on customer's needs and business needs.

Maintain high level of call productivity, while meeting call volume and customer service quality guidelines.

Handle a high volume of customers calls and a variety of requests, issue orders for service and emergencies and assist with credit inquiries while maintaining accuracy guidelines.

Candidate Info

2

years in workforce

1

month at this job

17

Customer Relations Specialist

Extensive new contract processing with new companies for sales department

Set up for all employees company access (id badges, secured areas, parking areas, ordered uniforms as needed)

Overseer for training for new/existing employees

Revised system for updates or corrections for security

Candidate Info

15

years in workforce

9

years at this job

HS

High School Diploma

Certified Customer Service

Cosmetology

18

Customer Relations Specialist/caseworker

Healthy Start Caseworker

Facilitated health insurance applications for consumers during open enrollment.

Provide support services to individuals and families seeking assistance coordinating and accessing health care services, public insurance programs, community resources and support services by performing the following duties

Assisted the large spanish speaking community in their needs with applications and verifications.

Your Resume, Made Easy.

You are looking for your dream job and need a resume? My Perfect Resume is your solution and takes the hassle out of resume writing. Create the perfect job-worthy resume effortlessly in just a few clicks!